Carlyle House
342 Winter Street, Framingham, MA 01701 · Middlesex County · 55 certified beds · avg 49 residents/day · certified since Dec 1, 1991
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 3, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 14, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 3, 2025 · F-0700 · triggered by a complaint
The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Why it matters: Improperly used bed rails can trap or injure residents — in the worst cases, causing serious harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 27, 2026 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 25, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 27, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 25, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 27, 2026 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 27, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 29, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 3, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 3, 2025 | ▲ J · Immediate jeopardy, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint |
| Mar 3, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 1, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 1, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 7, 2022 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 7, 2022 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 7, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 7, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Nov 7, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 7, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 6 | 0 | D |
| 2024 | 6 | 0 | F |
| 2025 | 8 | 2 | J ▲ |
| 2026 | 2 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $25,263.
| Date | Type | Amount / length |
|---|---|---|
| Jan 27, 2026 | Fine | $9,110 |
| Mar 3, 2025 | Fine | $16,153 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Massachusetts avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.64 | 3.89 | 3.95 | top 13% in Massachusetts; top 20% in the U.S. |
| Registered Nurse hours | 0.45 | 0.65 | 0.69 | bottom 23% in Massachusetts; bottom 30% in the U.S. |
| Weekend total nurse staffing | 4.03 | 3.51 | 3.50 | top 17% in Massachusetts; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.46 | 0.48 | bottom 22% in Massachusetts; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 38.2 | 45.8 | bottom 31% in Massachusetts; top 44% in the U.S. |
| RN turnover (%) | 57.1 | 42.6 | 42.9 | bottom 23% in Massachusetts; bottom 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.36, RN 0.43, weekend 3.79. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Morgan, Christopher | Individual | 5% or Greater Direct Ownership Interest | 7% | 02/06/1997 |
| Morgan, Joseph | Individual | 5% or Greater Direct Ownership Interest | 85% | 02/06/1997 |
| Morgan, Michael | Individual | 5% or Greater Direct Ownership Interest | 7% | 02/06/1997 |
| Anand, Ajay | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Anand, Ajay | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| Benedetti, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/09/2009 |
| Benedetti, John | Individual | ADP of the SNF | NOT APPLICABLE | 06/09/2009 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 04/15/2025 |
| Droeske, Kristen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/17/2021 |
| Droeske, Kristen | Individual | ADP of the SNF | NOT APPLICABLE | 09/17/2021 |
| Legrand, Omar | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/04/1998 |
| Legrand, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/03/2002 |
| Morgan, Janet | Individual | ADP of the SNF | NOT APPLICABLE | 05/30/1997 |
| Morgan, Joseph | Individual | Corporate Director | NOT APPLICABLE | 02/06/1997 |
| Morgan, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 02/06/1997 |
| Newport Real Estate Capital LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2022 |
| Rizik, Shantal | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2024 |
| Romano, Lauren | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/16/2024 |
| Romano, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 10/16/2024 |
| Shea, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/15/1995 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Casa de Ramana Rehabilitation Center | 0.7 mi | Framingham, MA | ★★★★☆ | 4/5 | |
| Bethany Skilled Nursing Facility | 1.4 mi | Framingham, MA | ★★★★★ | 5/5 | |
| St Patrick's Manor | 1.6 mi | Framingham, MA | ★★★★☆ | 3/5 | |
| Eliot Center for Health and Rehabilitation | 3.3 mi | Natick, MA | ★★★☆☆ | 3/5 | |
| Oak Knoll Rehabilitation and Healthcare Center | 3.6 mi | Framingham, MA | ★★★☆☆ | 3/5 | |
| Waterview Lodge LLC, Rehabilitation & Healthcare | 3.6 mi | Ashland, MA | ★★★☆☆ | 2/5 | |
| Beaumont Rehab & Skilled Nursing Ctr - Natick | 4.6 mi | Natick, MA | ★★★★☆ | 4/5 | |
| Royal Wayland Rehabilitation and Nursing Center | 4.6 mi | Wayland, MA | ★★★★★ | 5/5 | |
| Sudbury Pines Extended Care | 5.0 mi | Sudbury, MA | ★★☆☆☆ | 2/5 | |
| Alliance Health at Marie Esther | 5.3 mi | Marlborough, MA | ★★★★☆ | 4/5 | |
| Mary Ann Morse Nursing & Rehabilitation | 5.5 mi | Natick, MA | ★★★★★ | 4/5 | |
| Vantage at Sudbury LLC | 5.7 mi | Sudbury, MA | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 225541.